| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,620.85 | $2,620.85 | $2,620.85 | |
Aetna
| Professional | $1,891.57 | $1,891.57 | $1,891.57 | |
United
| Professional | $957.18 | $1,367.40 | $5,013.80 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,620.85 | $2,620.85 | $2,620.85 | |
Aetna
| Professional | $1,891.57 | $1,891.57 | $1,891.57 | |
United
| Professional | $957.18 | $1,367.40 | $5,013.80 |